A strong family history of breast cancer

You are seeing a post-menopausal female in the breast clinic. She was referred to you because of her abnormal mammogram (See below). She has a strong family history of breast cancer- her mother and one sister died from this cancer. She has no symptoms and this was her first mammogram. The physical is unremarkable. After viewing the mammogram, what will be your next step? (clue- this is one time you need to be myopic; zoom in)

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A. Obtain a galactography study
B. Recommend a core needle biopsy
C. Recommend fine needle aspiration
D. Recommend excisional biopsy